Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $271.82 / $1,004.72	Professional		$159.25	$271.82	$1,004.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.64 / $429.96 / $481.99	Professional		$378.64	$429.96	$481.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.30 / $272.37 / $707.84	Professional		$174.30	$272.37	$707.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.72 / $459.38 / $6,608.00	Facility		$241.72	$459.38	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $419.77 / $733.94	Professional		$222.03	$419.77	$733.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $289.66 / $414.52 / $535.66	Facility		$289.66	$414.52	$535.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $306.97 / $393.01 / $535.66	Professional		$306.97	$393.01	$535.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.48 / $402.50 / $705.67	Professional		$199.48	$402.50	$705.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $284.64 / $360.30 / $423.90	Professional		$284.64	$360.30	$423.90